Abdominal Epilepsy in an Adult:  A Diagnosis Often Missed

Harshe, Devavrat; Harshe, Sneha; Harshe, Gurudas; Harshe, Gayatri G

doi:10.7860/jcdr/2016/19873.8600

Cited by 9 publications

(7 citation statements)

References 4 publications

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“…AE is a rare seizure disorder of episodic gastrointestinal manifestations with ECG abnormalities. The diagnosis of AE is a challenge, and its prevalence is unclear [1]. In a small pediatric case series, its prevalence was observed to be higher in females, with a male-tofemale ratio of 1:2, indicating gender predilection.…”

Section: Discussionmentioning

confidence: 93%

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Abdominal Epilepsy Masked with Hiccups in a Patient with Intracranial Malignant Glioma

Assad

Dobariya

Zahid

et al. 2019

Cureus

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Abdominal hiccups are often masked by abdominal epilepsy (AE) in clinical settings. Spontaneous arrhythmic muscular movements sometimes raise the suspicion for abdominal myoclonus as well. AE is an atypical and rare cause of seizure disorder. It is a manifestation of different transient abdominal complaints correlating with abnormal electroencephalogram (EEG) changes and adequate response to anti-epileptic drugs. We present a case of an 80-yearold female who presented with an episode of tonic-clonic seizure that lasted for almost 10 minutes. The patient was confused and had a facial droop. She had another episode of seizure with a perseverative speech followed by left facial drooping and left upper extremity weakness. She continued having fluctuating mental status and left-sided hemiparesis with intermittent abdominal twitching. She was getting more bradykinetic than bradyphrenic. The computed tomography (CT) scan of the head and magnetic resonance imaging (MRI) of the brain showed a parietal lobe mass that was confirmed on biopsy as malignant glioma. The long-term video monitoring EEG report showed the occurrence of persistent right parietal spikes with background slowing. The brain mass was later treated with radiation therapy and surgery.

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Section: Discussionmentioning

confidence: 93%

“…Often, the abdominal epileptiform movements are masked by abdominal hiccups. Focal epilepsy with generalization can present with diversified patterns [1].…”

Section: Introductionmentioning

confidence: 99%

Abdominal Epilepsy Masked with Hiccups in a Patient with Intracranial Malignant Glioma

Assad

Dobariya

Zahid

et al. 2019

Cureus

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“…Abdominal epilepsy can be masked or misdiagnosed as a physical or psychological disorder like this case and be subjected to a number of expensive, time-consuming, and futile investigations [9,10].…”

Section: Discussionmentioning

confidence: 99%

Abdominal epilepsy mimicking conversion disorder: a case report

Öztürk

Göl

Savcı

et al. 2018

Psychiatry and Clinical Psychopharmacology

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In children and adolescents, especially younger ones, recurrent abdominal pains may develop as a response to psychosocial stressors. They may be considered as functional and be one of the common reasons for clinical referrals. A rare cause of recurrent, organic abdominal pain is abdominal epilepsy. Abdominal epilepsy may be considered in differential diagnosis of patients that were thought to have functional complaints. In this case, a 16-year-old adolescent girl whose chief complaints included loss of consciousness and recurrent abdominal pains lasting for a year is presented. ARTICLE HISTORY

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“…There are 36 cases reported in literature, in the review of abdominal epilepsy by Zinkin and Peppercorn [4]. We found other 15 cases of abdominal epilepsy in English literature after Zinkin's review paper [6][7][8][9][10][11][12][13][14][15][16]. In the reported cases, there is no racial specificity nor regional specificity.…”

Section: Epidemiologymentioning

confidence: 99%

Acute Diarrhea as a Manifestation of Abdominal Epilepsy

Murai¹,

Kinoshita²

2020

Perspective of Recent Advances in Acute Diarrhea

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Medical doctors are very frequently confronted with gastrointestinal complaints in daily clinical practice. Most of them are ascribed to gastrointestinal disease in general. There exist, however, cases who complain with abdominal signs and symptoms whose causes are unable to be found, in spite of various examinations related to the abdomen. Epilepsy is a chronic disorder of the central nervous system manifesting with recurrent unprovoked seizures. Abnormal abdominal sensation often heralds the onset of epileptic seizures. Among them, there is a rare syndrome called abdominal epilepsy in which episodic gastrointestinal complaints like abdominal pain, abdominal discomfort, nausea, vomit, and diarrhea are the primary or the sole manifestation of epileptic seizures. It is important for clinicians to know that abdominal epilepsy is one of the differential diagnoses of acute gastrointestinal signs and that these symptoms can be treated with antiepileptic medications. Here we review abdominal epilepsy as one of the causes in acute diarrhea.

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Abdominal Epilepsy in an Adult: A Diagnosis Often Missed

Cited by 9 publications

References 4 publications

Abdominal Epilepsy Masked with Hiccups in a Patient with Intracranial Malignant Glioma

Abdominal Epilepsy Masked with Hiccups in a Patient with Intracranial Malignant Glioma

Abdominal epilepsy mimicking conversion disorder: a case report

Acute Diarrhea as a Manifestation of Abdominal Epilepsy

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